| Assure Care Therapeutic Services, Llc | |
|
306 Penrith Xing Yorktown VA 23692-2227 | |
| (757) 897-6835 | |
| Not Available |
| Full Name | Assure Care Therapeutic Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 306 Penrith Xing, Yorktown, Virginia |
| Authorized Official Name and Position | Lee Green (THERAPIST) |
| Authorized Official Contact | 7578976835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assure Care Therapeutic Services, Llc 306 Penrith Xing Yorktown VA 23692-2227 Ph: (757) 897-6835 | Assure Care Therapeutic Services, Llc 306 Penrith Xing Yorktown VA 23692-2227 Ph: (757) 897-6835 |
| NPI Number | 1811686215 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Medicare PECOS PAC ID | 9032558341 |
|---|---|
| Medicare Enrollment ID | O20240419001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811686215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Lee Green |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548976509 PECOS PAC ID: 0941649255 Enrollment ID: I20240419001223 |
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